Abuse of codeine pills

Australia’s growing epidemic of codeine pain killer abuse

Articles, Australia

Dubbed a “national emergency” by the Australian Medical Association (AMA) in August, 2015, codeine pain killer abuse and overdose continues to capture Australian news headlines.

Last week, Australian hip-hop recording artist, Matt Colwell, aka “360” made headlines after releasing a rap video recorded in what appears to be a home studio, in which he explains his personal battle with prescription painkiller addiction.

The video, which has been viewed more than 7.25 million times, and shared nearly 200,000 times since 360 posted it on his Facebook page on January 9, 2016 at 2:05pm, has prompted renewed calls for stricter regulations around the use of codeine-containing medications.

In his song, entitled “I’m Sorry,” 360 describes the severity of his addiction, stating he was taking 90 pills, or three packets of over-the-counter medication, Nurofen Plus, on a daily basis.

“If I had nine lives then I’m using them up, no-one knew my addiction it was stupid as f***. 

“Ninety pills daily of Nurofen Plus…” 

He even went so far as to acknowledge an overdose, which caused him to cancel a series of shows in January, 2015.

“I was a zombie, I couldn’t feel nothing. I smashed four packets because I just wanted to feel something. 

“Yo, I overdosed for sure, I was at the venue, I was going to perform, 

“I can’t remember, see I was told in a report my tour manager found me convulsing on the floor…”

360 isn’t the first celebrity to bring Australia’s dependence on opioids into the spotlight.

Last year, Kim Ledger, father to the late Oscar award-winning actor, Heath Ledger, who died from an overdose of six-different prescription medications in August 2008, delivered a keynote presentation on behalf of the not-for-profit organisation, Scriptwise, for whom he is Patron, explaining prescription medication misuse, and abuse is out of control in Australia.

His organisation, along with various other Australian entities, called for the introduction of a real-time prescription monitoring service involving GPs and pharmacists to help tackle the growing public health epidemic.

However, as 360 states in his rap, “That’s the thing with a codeine addiction, it’s over the counter, so you don’t need prescriptions.”

According to an ABC News article published Monday, January 11, 2016 Australia is one of the few countries in the Western world that still permits codeine-containing medications to be sold over-the-counter, despite continued calls from many quarters that the substance be reclassified as prescription only.

Further to this, Australia has seen a recent surge in the use of heroin – a drug that had a strong grip on the nation during the 1990s.

The Australian Drug Foundation argues that more Australians are becoming addicted to painkillers, and when addicted “users” are unable to get their “fix” due to doctor and/or pharmacy shopping failures, they often switch to cheaper and more accessible street drugs, such as heroin.

If you, or someone you know and/or love, is battling an addiction to codeine pain killers and need help or wish to learn more, please contact DARA Thailand on +66 87 140 7788 or email info@dararehab.com.

Australia drug testing

Debate rages over pill testing at music festivals

Articles, Australia

According to recent media reports, 2015 saw a spike in drug-induced harm at Australian music festivals, including 120 people who were treated for drug-related issues, and the passing of Sydney pharmacist, Sylvia Choi, 25 at Stereosonic. These events have served to fuel the debate on pill testing at music festivals.

Pill testing, which indicates the content of an illegal drug in a user’s system, is currently practised widely throughout Europe, in countries such as The Netherlands, Switzerland, Austria, Germany, Spain and France.

Australian Drug Foundation National Policy Manager, Mr Geoff Munro told SBS News on December 7, 2015 that Australia urgently requires a pill testing trial to help curb the spiralling incidence of drug-induced harm.

“We have to recognise there is a culture of drug taking at music festivals and this would target the people who are determined to take the drugs.”

The results of the 2013 National Council on Drugs Survey, flagged in a report by popular the National Drug and Alcohol Research Centre,  revealed more than 82 per cent of the 2,300 young Aussies aged between 16 and 25 surveyed support pill testing.

However the argument has met fierce debate from politicians and health experts who maintain this approach to drug prevention simply increases the risk of drug-induced harm, as festival goers will participate in unsupervised gatherings to avoid being policed, resulting in more fatalities.

Currently police forces in South Australia and New South Wales will not support pill testing at music festivals, with Forensic Toxicologist and Safework Laboratories Marketing Director, Mr Andrew Leibie, informing SBS that pill testing, will not detect illicit drugs.

“On-site pill testing is impractical and unlikely to have any meaningful impact, or prevent the kinds of tragic deaths we have seen in recent weeks,” said Mr Leibie.

With the advent of the New Year and many music festivals to come, the debate regarding whether “to test, or not to test” pills will continue to escalate. In the interim, we pray that the implementation of any drug abuse prevention strategy will help to curb the number of senseless deaths at musical festivals and the like.

 

Ice Damage to Body

Effects of ICE on the Human Body

Articles, Australia, Education

Crystal methamphetamine, ice, now reigns as the most destructive drug in Australia. The purest of the methamphetamines, ice is more potent and addictive on the body and mind than other illicit drugs, and compromises the brain, causing users to engage in violence.

When ice is ingested by the human body, within 30 minutes the brain releases dopamine, a neurotransmitter that controls pleasure from various stimuli such as alcohol, nicotine, food and sex. This process causes a sudden buzz which progresses to a euphoric high, that lasts between seven-to-24 hours.

At this point, addiction kicks in, as the pre-euphoric high can no longer be replicated, and users can only maintain the sense of pleasure through ongoing stimulation, or drug use, thereby creating addiction.

Ice acts on three centres of the brain compared to just one with most drugs, allowing users to become highly stimulated and more likely to experience a heart attack, as their heart pumps faster and the perception of their environment alters.

Ice users also produce an increased amount of serotonin which regulates sleep, mood and appetite. Worryingly, the drug also activates high release of noradrenalin, causing users to feel anxious, suspicious and at heightened risk of being aggressive and getting into fights.

Ultimately, treatment is highly recommended, for most users end up feeling depressed, as their normal production levels of dopamine wear out.

If you are facing an ice or any other form of drug addiction, help is available. DARA Thailand is the leading international destination for drug and alcohol rehabilitation and recovery in Asia. With a 92 per cent average program completion rate, DARA Thailand rehabilitation involves the mind and body, with treatments focusing on both the underlying issues resulting in drug and alcohol addiction, together with the physical and physiological aspects of addiction.

To learn more about DARA Thailand, head to https://dararehab.com/or contact a DARA therapist today, 24/7, for a free, confidential assessment via the following numbers:

Direct to Thailand +66-87-140-7788
Toll-free from United States 1-888-774-8459
Toll-free from United Kingdom 0333-122-9728
Toll-free from Australia 1-800-990-523

Ice Epidemic

Australian Government spending on ICE epidemic cure

Articles, Australia

In response to the current spate of drug-related deaths and the alarming growth of the nation’s crystal methylamphetamine, or ‘ice’ epidemic, the Australian government has awarded more than $300 million to reduce the abuse and harm of illicit drugs.

An unclassified report investigating methylamphetamine (‘meth’) in Australia by the Australian Crime Commission (ACC) found of all illicit drugs, ice is currently the most dominant form of meth and therefore, poses the highest risk to the Australian community. [1] In addition, the National Drug and Alcohol Research Centre discovered Australian deaths caused by injecting ice have increased by 52 per cent in the past decade. [2]

The rampant nature and scale of ice addiction in Australia, begs the question, what is the solution to this tragic epidemic?

Following the recent drug-induced death of 25 year-old, Sydney pharmacist, Sylvia Choi and a 19-year-old man, Stefan Woodward, both of whom took illicit drugs at local music festivals, the Federal Government has announced it will allocate more than $300 million to battle the ice epidemic threatening the lives of Australians.

This grant comes shortly after the Government awarded the National Health and Medical Research Council (NHMRC) more than $1 million to conduct Australia’s largest clinical trial of medical treatment for “ice” addiction to date.

In an interview reported by ABC News, the Australian Prime Minister, The Hon. Malcolm Turnbull MP, cited “The responsibility for tackling this very complex problem can’t be left to the police alone.” [3]

Turnbull explained arresting addicts is not enough, and claimed the funding would be allocated to primary health networks.

“We believe that the medical and healthcare professionals who are closest to the people in need, are best able to determine how the money is spent.”

In an opinion piece published by The Border Mail, Sydney lawyer, Tim Dick claimed the Australian imprisonment rate had doubled in the past 30 years and there are currently 196 people in full-time custody for every 100,000 adult Australians. [4]

The government has recognised an integrated approach must be implemented, focusing on the treatment, intervention and prevention of harm as the main way to reduce drug addiction, rather than investing in the policing of addicts. [5]

In terms of how to solve the raging debate involving the ice epidemic gripping Australia, there may be no single solution. Goverment measures and heightened community awareness however, should help make substantial in-roads into curbing this social scourge.

 

[1] Australian Crime Commission 2015, ‘The Australian Methylamphetamine Market – The National Picture,’ vol.1, no.1, p.5, https://www.crimecommission.gov.au/sites/default/files/AUS-METH-%20MARKET-%20200315%20FINAL.pdf, accessed December 11, 2015

[2] Downey, M 2015, National Drug & Alcohol Research Centre, ‘Methamphetamine deaths increase across Australia and ice use jumps by 52 per cent among people who inject drugs,’ , accessed December 11, 2015.

[3] Fogarty, S 2015, ‘Prime Minister announces $300m strategy to tackle ice addiction,’ ABC News, online, available at: , accessed December 11, 2015.

[4] Dick, T 2015, ‘Drug fight needs to focus on intervention,’ International Business Times, available at: , accessed on December 11, 2015.

[5] Acosta, D 2015, ‘Government allocates more than $300 million to combat ice addiction,’ International Business Times, available at: , accessed on December 11, 2015.

 

Drugs australia

Australian Government’s National Drug Strategy

Articles, Australia, International

Australian Government’s National Drug Strategy on illicit drug use shaped by regulation rather than modern forms of rehab – December 11, 2015

A United Nations (UN) 2015 report estimates around 246 million people world-wide aged between 15 and 64 use illicit drugs. Australia is awash with drugs, with 42 per cent of the nation’s adult population acknowledging drug use at some stage in their lives[1]; almost 15 per cent of whom used drugs between 2014-15.[2]

Illicit drug use not only impacts users, but also weighs heavily on the Australian public purse – an estimated $55.2 billion in 2004-05, including costs to the healthcare system, workplace productivity, road accidents and crime.[3]

Notably, tobacco use accounted for $31.5 billion, alcohol for $15.3 billion, and illegal drugs $8.2 billion, with alcohol and illicit drugs together accounting for an additional $1.1 billion.[4]

Since 1985, successive Australian Governments’ have regularly revised the National Drug Strategy, by predominantly focusing on harm minimisation, and the framework for such, including issues of demand, supply and harm reduction.

The demand reduction component of this framework has focused on preventing the uptake of, or delaying the use of alcohol, tobacco, and/or other drugs used personally, within the community, and for helping individuals recover from their dependence, and reintegrate into society.

The supply reduction framework aims to prevent, stop, disrupt and reduce the production and supply of illegal drugs. The framework also touches on controlling, managing and regulating the availability of legal drugs.

The harm reduction framework incorporates strategies and actions designed to reduce the adverse health, social and economic consequences from an individual’s use of drugs, and their effects on the community.

While this framework has played a pivotal role in helping successive Australian Governments formulate their drug use policy, it fails to account for other, more modern and proven approaches operating successfully world-wide, such as at DARA, Thailand.

Australian Governments have been slow to acknowledge the rise in popularity of high quality, evidence-based, drug care treatment programs. With an average completion rate of 92 per cent and overall treatment rate of 52 per cent, DARA Thailand offers its clientele, a cost-effective customised treatment plan that includes multiple modalities of care to assist with rehabilitation.

Part of DARA Thailand’s unique offering to clientele, is its focus on teaching individuals how to relax and socialise again, without the aid of drugs and/or alcohol, in order to mount an an effective recovery from addiction. In particular, the DARA Koh Chang rehabilitation program focuses exclusively on Cognitive Behavioural Therapy (CBT) treatment, combining physical, social, psychological and spiritual components through a variety of individual and group-oriented activities, to aid recovery.

To learn more about DARA Thailand, head to https://dararehab.com/or contact a DARA therapist today, 24/7, for a free, confidential assessment via the following numbers:

Direct to Thailand +66-87-140-7788
Toll-free from United States 1-888-774-8459
Toll-free from United Kingdom 0333-122-9728
Toll-free from Australia 1-800-990-523

[1] United Nations Office on Drugs & Crime. 2015. World Drug Report 2015 . [ONLINE] Available at: https://www.unodc.org/documents/wdr2015/World_Drug_Report_2015.pdf. [Accessed 11 December 15].

[2] United Nations Office on Drugs & Crime. 2015. World Drug Report 2015 . [ONLINE] Available at: https://www.unodc.org/documents/wdr2015/World_Drug_Report_2015.pdf. [Accessed 11 December 15].

[3] United Nations Office on Drugs & Crime. 2015. World Drug Report 2015 . [ONLINE] Available at: https://www.unodc.org/documents/wdr2015/World_Drug_Report_2015.pdf. [Accessed 11 December 15].

[4] National Drug Strategy (Accessed 2015) The Costs of Tobacco, Alcohol and Illicit Drug Abuse to Australian Society in 2004/05, Australian Government, Canberra